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Revenue Cycle Management
One accountable team manages every claim from the eligibility check to the final payment, with reporting you can actually read.
Eligibility
Claims
Posting
Denials
Reporting
Medical billing company · Serving all 50 states
Prime Medical Revenue is a medical billing company for practices in all 50 states. Our medical billing services cover eligibility, claims, denials and payment posting. You get paid faster, and your staff stays focused on patients.
HIPAA-compliant
BAA signed with every client
Serving all 50 states
Free practice consultation
No software switch needed. Our billing teams already work in multiple billing software.
Most practices start looking for a medical billing service when cash slows down or the billing desk falls behind. These are the problems we fix most often.
The problem: denied claims sit in a queue until filing limits pass and the money is lost. Our fix: we work denials first, appeal within filing limits and fix the cause so the same denial stops coming back.
The problem: claims go out late or with errors, so payers pay weeks later or not at all. Our fix: we check every charge against payer rules before filing and follow up on each open claim until it pays.
The problem: inactive coverage or a missing prior authorization shows up only after the visit. Our fix: we verify coverage and authorization needs before the appointment. Urgent authorization issues get priority, and we aim to reply the same day.
The problem: when a biller leaves, claims stop and training starts over. Our fix: a billing team covers your claims every day, and your practice has one dedicated point of contact.
The problem: a new provider cannot bill until payer enrollment is finished. Our fix: we prepare and track payer applications so the new provider can start billing sooner.
The problem: you cannot tell what was billed, what was paid or what is still open. Our fix: weekly or monthly reports show filed, paid and open claims, with denials grouped by cause.
Seeing two or more of these in your practice?
Book a Free Billing ReviewWhat we handle
Our medical billing and coding services cover the full revenue cycle. Hand us the full cycle or a single function. Each piece connects to the next, so nothing stalls between hand-offs.
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One accountable team manages every claim from the eligibility check to the final payment, with reporting you can actually read.
Eligibility
Claims
Posting
Denials
Reporting
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Coverage, copays and authorization needs are confirmed before the patient arrives.
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Charges are checked against payer rules and filed promptly, electronically or on paper.
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Provider records, payer applications and follow-ups stay organized, so you can bill sooner.
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Every denial is worked, appealed within filing limits and traced to its root cause.
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ERAs and checks are posted and reconciled against the original charge.
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Coding, documentation and payer performance are reviewed to find the revenue you're missing.
Keeping billing in-house means hiring and training billers, paying for software and clearinghouse fees, and covering the desk when someone is out. Outsourcing moves that work to a team that bills every day.
Hire, train and replace billers yourself
A billing team covers your claims every day
Often tied to one biller’s setup
We work in your EMR, PM system and clearinghouse
Worked when there is time
Worked first and traced to the root cause
Learned claim by claim
Tracked for Medicare, Medicaid and commercial payers
Informal or on request
Weekly or monthly reports on filed, paid and open claims
Not ready to hand over everything? Start with one service, such as credentialing or denial management, or read how we outsource medical billing services end to end.
How it works
Five connected steps, run by one team. Each one sets up the next so claims move and cash comes in.
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Eligibility and benefits are verified before each visit, so every claim starts clean.
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Charges are checked against payer rules, then submitted electronically or manually.
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ERAs and checks are posted and matched to the original charge.
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Denials get first priority, and corrected claims go back out within filing limits.
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Weekly or monthly reports show what was filed, what was paid and what's still open.
Denials are common and expensive. In a Premier Inc. survey, nearly 15% of claims sent to private payers were denied at first. More than half of those, 54.3%, were later overturned and paid, and fighting each one cost an average of $43.84.
On HealthCare.gov plans, insurers denied 19% of in-network claims in 2024, and fewer than 1% of those denials were appealed, according to KFF. Money left on unworked denials is simply lost.
Sources: Premier Inc. and KFF.
Weekly or monthly reports, emailed straight to your office
Why Prime Medical Revenue
We are a billing company for medical practices that shows you every step. We keep fee schedules current with CMS guidelines and work inside your existing systems.
No forced switch. Our teams already bill in multiple billing software, and with any clearinghouse.
Regular reports show what we filed and what you received. No guessing.
Denials are worked as a priority, which keeps A/R under control and cash moving.
From primary care to surgery, we bill for a wide range of specialties and know their payer rules.
We sign a Business Associate Agreement before we handle any patient data. Access is limited to the team members who need it for their work.
Each practice gets a dedicated point of contact. Your questions get an answer within one business day.
From solo providers to multi-location groups, our medical billing services for physicians run the same way. Here is who we work with most.
Affordable, hands-on billing without hiring a full billing department. See billing for small practices.
One billing process across every site, with reports you can compare by location.
Coding, modifiers and authorizations handled by billers who know your specialty.
Therapy, psychiatry and ABA claims, including telehealth. See mental health billing.
High claim volume with eligibility checked at check-in and fast follow-up.
Credentialing and payer enrollment first, then clean billing from the first visit.
Many
Medical specialties billed
24/7
Open 7 days a week
10
Billing & RCM services
50
States served nationwide
Specialties we serve
Our physician billing services cover everything from cardiology to behavioral health. Billers who know your specialty's codes, modifiers and payer rules handle your claims.
Cardiology
Internal Medicine
Family Medicine
Behavioral Health
Orthopedics
Pediatrics
OB/GYN
Gastroenterology
Dermatology
Urgent Care
Don't see yours? We likely bill for it.
See All SpecialtiesWhere we work
We provide medical billing services in the USA from our headquarters in Austin, Texas. Practices in all 50 states work with the same team. Texas practices can also meet us in person.
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Visit us
5900 Balcones Drive STE 100, Austin, TX 78731. Clients are welcome to visit.
Medical billing in Austin
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Texas
Medical billing services in Houston
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Texas
Medical billing services in Dallas
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Nationwide
See states we serve
Outside Texas? See the states we serve
Client reviews
Sample review: "Our claims go out clean and denials are worked the same week. The monthly report finally shows us where every dollar stands."
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Sample Reviewer
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Sample review: "They work inside our existing EMR, so nothing changed for our front desk. Collections improved within the first few months."
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Sample review: "Credentialing for our new provider was handled start to finish. We always know who to call and get a straight answer."
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Common questions
Short answers to what practices ask us most. The full list is on our FAQ page.
Prime Medical Revenue is a medical billing company headquartered in Austin, Texas. We serve practices in all 50 states across a wide range of specialties. You can hand us the full revenue cycle, from eligibility checks to payment posting and denials, or start with a single service. Pricing is quoted after a free consultation.
Yes. We are a medical billing company in the United States, not only in Texas. Our team bills for practices in all 50 states and follows each state's Medicaid rules and its Medicare contractor. Texas practices can also visit our office. Everyone else works with us by phone, email and video calls.
No. Our specialized billing teams have experience working in many different software systems, so you can keep the one you use today.
Yes. Our billing staff handles the full revenue cycle and gives denials first priority, so corrected claims are resubmitted on time and payment comes in sooner. Addressing denials promptly and fixing their causes keeps A/R under control.
You get weekly or monthly reports emailed to your office. They show what we filed, what was paid, what is still open and why claims were denied. Your dedicated point of contact walks you through anything that looks off. Questions get an answer within one business day.
Most medical billing companies charge a percentage of what they collect or a flat fee per claim. The right model depends on your claim volume, specialty and payer mix. We give you a quote after a free consultation and billing review.
Yes. Our billing processes are HIPAA-compliant, and we sign a Business Associate Agreement with every client. We work inside your own systems rather than copying patient data into new ones. Access to your information is limited to the team members assigned to your account.
Contract terms are discussed and agreed with each practice before onboarding. They depend on your service agreement and the services you choose. We go through the terms with you during the free consultation, so you know them before you sign.
We review your open A/R first, keep older claims moving while new claims start, and agree on what we take over before day one.
Tell us about your practice. A billing specialist will get back to you within one business day.
5900 Balcones Drive STE 100, Austin, TX 78731
Open 24 hours, 7 days a week
Free consultation
Tell us about your practice. We will show you where revenue is slipping and how we would fix it. The consultation is free.